ADENOMA OF BRUNNER'S GLANDS

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Abstract
A case of Brunner''s glands adenoma is added to the 70 reported in the literature. This adenoma grew to such unusual size that it obstructed the pyloric ring intermittently. In addition, it often ulcerated and bled, causing unexplained anemia. The patient had a long history of vague abdominal complaints and postprandial distention not responsive to medical treatment. Repeated gastrointestinal roentgenograms over many years gave equivocal findings. Because the pathology was apparently confined to the duodenum, surgical exploration was done which revealed an adenoma of the duodenum. Removal of this adenoma resulted in relief of symptoms. There was also a rare, interesting finding of ectopic pancreatic tissue in the stomach. The literature on Brunner''s gland adenoma was reviewed and its clinical aspects discussed.

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